Island Park Medical Clinic | |
3765 Highway 20 S Island Park ID 83429 | |
(208) 558-7766 | |
Not Available |
Full Name | Island Park Medical Clinic |
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Speciality | Clinic/center |
Location | 3765 Highway 20 S, Island Park, Idaho |
Authorized Official Name and Position | Stephen Cheyne (PRESIDENT) |
Authorized Official Contact | 2085587766 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Island Park Medical Clinic Po Box 826 Ashton ID 83420-0826 Ph: () - | Island Park Medical Clinic 3765 Highway 20 S Island Park ID 83429 Ph: (208) 558-7766 |
NPI Number | 1407026560 |
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Provider Enumeration Date | 03/05/2008 |
Last Update Date | 04/02/2008 |
Identifier | Type | State | Issuer |
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1407026560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | M4566 (Idaho) | Primary |